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Individual

JAMES BRADLEY MADDOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1940 STONEGATE DR, VESTAVIA HLS, AL 35242-2539
(205) 977-9876
Mailing address
1940 STONEGATE DR, VESTAVIA HLS, AL 35242-2539
(205) 317-5939

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-137720
AL

Other

Enumeration date
03/04/2019
Last updated
05/19/2021
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